Due to improvements in acute burn care over the last few decades, most patients with severe burns (up to 90% of the total body surface) survive. However, the metabolic and cardiovascular complications that accompany a severe burn can persist for up to 3 years post injury. Accordingly, there is now a greater appreciation of the need for strategies that can hasten recovery and reduce long-term morbidity post burn. Rehabilitation exercise training (RET) is a proven effective treatment to restore lean body mass, glucose and protein metabolism, cardiorespiratory fitness, and muscle strength in burn survivors. Despite this, very few hospitals incorporate RET in programs to aid the rehabilitation of patients with severe burns. Given that RET is a safe and efficacious treatment that restores function and reduces post-burn morbidity, we propose that a long-term exercise prescription plan should be considered for all patients with severe burns. In this literature review, we discuss the current understanding of burn trauma on major organ systems, and the positive benefits of incorporating RET as a part of the long-term rehabilitation of severely burned individuals. We also provide burn-specific exercise prescription guidelines for clinical exercise physiologists.

由于过去几十年急性烧伤护理的改进，大多数严重烧伤（高达全身表面的 90%）的患者得以存活。然而，伴随严重烧伤的代谢和心血管并发症可能会在受伤后持续长达 3 年。因此，现在人们更加认识到可以加速恢复和减少烧伤后长期发病率的策略的必要性。康复运动训练 (RET) 被证明是一种有效的治疗方法，可以恢复烧伤幸存者的瘦体重、葡萄糖和蛋白质代谢、心肺健康和肌肉力量。尽管如此，很少有医院将 RET 纳入帮助严重烧伤患者康复的计划中。鉴于 RET 是一种安全有效的治疗方法，可以恢复功能并降低烧伤后的发病率，我们建议为所有严重烧伤患者考虑长期运动处方计划。在这篇文献综述中，我们讨论了目前对主要器官系统烧伤创伤的理解，以及将 RET 作为严重烧伤患者长期康复的一部分的积极好处。我们还为临床运动生理学家提供针对烧伤的运动处方指南。